The cultural pattern highly valued in American society that often results in nurses of the dominant
culture establishing unrealistic outcomes for clients of other cultural groups is
a. interdependence.
b. present orientation.
c. using direct confrontation to solve problems.
d. suspending one's own needs in favor of external obligations.
ANS: C
Directly confronting problems is a highly valued approach in the American culture; however, it is
not part of many other cultures in which harmony and restraint are valued. American nurses
mistakenly think that all clients are capable of taking direct action. Clients with other values will be
unable to meet this culturally inappropriate outcome. Option A: This cultural pattern is valued more
by indigenous peoples. Option B: Present orientation is not part of Western culture; it is seen more
in the Hispanic tradition and indigenous cultures. Option D: This pattern is seen more often in
Eastern cultures.
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